Individual
BRYAN ALEXIS RASCON-ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 MARQUEZ PL UNIT 106B, SANTA FE, NM 87505-1833
(866) 608-5560
Mailing address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 608-5560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/30/2025
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